TWO PERSON CHECKING TO LESSEN RISK OF OESOPHAGEAL INTUBATION is feasible & acceptable Great to see this paper in early access in British Journal of Anaesthesia A simple feasibility study supported both 2-person checking of capnograph trace (sustained exhaled CO2) & 2-person checking of

Simple summary data 78% intubators & 97% intubators’ assistants reported 2-person verbal intubation check would reduce the likelihood of unrecognised oesophageal intubation respondents reported strong positives & lack of negative aspects for both 1-step & 2-step 2-person

Methods Two types of 2-person checks 1-step: intubator & assistant independently confirm sustained exhaled CO2 after intubation 2-step: both confirm intubation independently using both VL view & capnography Two hospital - Royal United hospital, Bath & Guy's & St Thomas

2-person intubation checks: among both intubators & intubator assistants -strong support of +ve aspects (green boxes) -negligible support for -ve concerns (red boxes) -it is feasible -it is well supported -by intubators & assistants Here are the results in graphical form

Two person checks 1-step capnography check Intubators & assistants - strongly support +ve statements - almost no support for -ve concerns Likert scale distributions shown here.... 5/7

Two person checks 2-step check: VL view & capnography Intubators & assistants - strongly support +ve statements - almost no support for _ve concerns Likert scale distributions shown here.... 6/7

2-person checks of intubation Exit survey: still highly positive Conclusion 2-person checks of intubation are highly feasible & acceptable to intubators & assistants -judged to reduce risk of unrecognised oesophageal intubation -multiple team & human factor benefits

Starkadder 🇦🇱 British Journal of Anaesthesia Some people do The vast majority don’t. Of course, only those always using VL (with a separate screen) can do the 2-person check of laryngeal view to confirm intubation success

Dr. Anaesthetic SpR 🤓 British Journal of Anaesthesia Unfortunately cases of unrecognised oesophageal intubation are consistent for doctors being entirely confident they have intubated successfully when they have not. This leads to confirmation bias & anchoring bias. Numerous entirely preventable deaths have occurred. Around

Dr. Anaesthetic SpR 🤓 British Journal of Anaesthesia I fundamentally disagree, for the reasons I’ve stated above. I’d encourage you to read the paper. In it, a large number of intubators & intubator’s assistants at two dissimilar hospitals -after training before trialing -when intubating & undertaking 2-person checks -after

This video is incredible. Everyone should RETWEET it so the whole *world* sees it.

Kamala Harris talks to Kamala Harris

Krishnan Guru Murthy barely keeping a straight face through this. #C4AmericaDecides

Emily Maitlis eviscerates Boris Johnson "You started importing that Trump like behaviour into Britain when you were Prime Minister" "His disregard for institutions. His disregard for the rule of law" "His denialism.. Mirrored in your response to the Privileges Committee.. Your

Word of the day is ‘recrudescence’ (17th century): the return of something terrible after a time of reprieve.

Never has this been truer. Labour needs to step up, wake up, show up, and get us back on the path to EU membership, in whatever form can be agreed. Blair was right then and is right now. Come on, sort yourselves out. Your economic growth doesn’t exist.

This Thursday's FICMLearning Blog is written by Dr Cloke and Dr Crofton on a Critical Communications Training Opportunity. Click here to read the blog: bit.ly/FICMBlog-Criti… #FOAMed #FICMLearning

But why do we need a reminder about peri-operative steroid replacement? Because only 31% of respondents were compliant with the AoA guidelines intra-operatively, and only 19% postoperatively! Overall, peri-operative prescribing was compliant in 9% of patients! Aravind Ramesh